Rikki Suzanne Broom, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906303 Issued in MS

Practice address

4881 Hwy 589
Sumrall, MS 39482-3948

Phone

(601) 336-9099

NPI assigned

Sep 27, 2023

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Bright Clinic LLC

  • Nurse Practitioner
  • Sumrall, MS
  • NPI 1780341396
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1942089917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394820566",
            "telephone_number": "601-336-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 HWY 589",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394823948",
            "telephone_number": "601-336-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOM",
        "first_name": "RIKKI",
        "middle_name": "SUZANNE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beach
• Mary Agnes Bennett, FNP
• Lindsey Boswell, APRN FNP-BC, NP-C
• Brett Alan Valentine D.M.D.
• Catherine Elizabeth Brock, MSN, CPNP-PC
• Charles Allen Bruce, FNP-C
• Ashley Bryant, MS, RD, LD
• John David Bullock, MD
• Center Avenue Dental Care, LLC
• Amanda McKenzie Cesare, CPNP, PC, PMHS

• Nurse Practitioner in Sumrall, MS
• Providers in Sumrall, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.